Analyzing clinical and system drivers of satisfaction in the intensive care unit as a component of high quality care
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Updated: Nov 23, 2025
Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Kevin Hummel1, Zhining Ou2, Avani Latchireddi3
1University of Utah Department of Pediatrics, Division of Pediatric Critical Care Medicine, United States; Intermountain Healthcare Primary Children's Hospital, United States.
Background:
Quality improvement in the intensive care unit has transitioned from focusing on mortality to improving care and reducing morbidity.
Objective:
This study prospectively investigated clinical and system drivers of family satisfaction in a large quaternary hospital ICU.
Methods:
A validated tool was distributed to family members and a registry chart analysis was conducted. The aims were to assess associations with high or low family satisfaction to evaluate unit-level satisfaction. Candidate predictors were selected from univariate logistic regressions and finalized in a multivariate model by a stepwise selection approach.
Results:
Overall, 75% (n = 188) of respondents (n = 250) indicated high satisfaction. Respondents with higher satisfaction had a Plan of the Day posted (OR = 3.3, 95% CI: 1.63, 6.89, p = 0.001), and did not live with the patient (OR =0.5, 95% CI: 0.25, 0.96, p = 0.044).
Conclusion:
This study indicates that communication and transparency of plans contributes to family satisfaction with ICU care.
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